Cited 8 times in
Dynamic predictive model for postoperative nausea and vomiting for intravenous fentanyl patient-controlled analgesia
DC Field | Value | Language |
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dc.contributor.author | 김소연 | - |
dc.contributor.author | 박경수 | - |
dc.contributor.author | 송영 | - |
dc.contributor.author | 채동우 | - |
dc.contributor.author | 한동우 | - |
dc.date.accessioned | 2020-02-26T06:38:17Z | - |
dc.date.available | 2020-02-26T06:38:17Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 0003-2409 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175233 | - |
dc.description.abstract | Postoperative nausea and vomiting is the most common side-effect of opioid-based intravenous patient-controlled analgesia. Apfel's simplified risk score is popular but it has some limitations. We developed and validated a dynamic predictive model for nausea or vomiting up to 48 postoperative hours, available as an online web application. Fentanyl was used by 22,144 adult patients for analgesia after non-cardiac surgery under general anaesthesia: we randomly divided them into development (80%) and validation (20%) cohorts, repeated 100 times. We used linear discriminant analysis to select variables for multivariate logistic regression. The incidences of postoperative nausea or vomiting were: 0-48 h, 5691/22,144 (26%); 0-6 h, 2749/22,144 (12%); 6-12 h, 2687/22,144 (12%); 12-18 h, 2624/22,144 (12%); 18-24 h, 1884/22,144 (9%); and 24-48 h, 1082/22,144 (5%). The median (95%CI) area under the receiver operating characteristic curve was 0.72 (0.71-0.73) up to 48 postoperative hours compared with 0.65 (0.64-0.66) for the Apfel model, p < 0.001. The equivalent areas for 0-6 h, 6-12 h, 12-18 h, 18-24 h and 24-48 h were: 0.70 (0.69-0.72); 0.71 (0.69-0.73); 0.69 (0.68-0.71); 0.70 (0.67-0.72); and 0.69 (0.66-0.71), respectively. Our web application allows clinicians to calculate incidences of nausea and vomiting in patients receiving intravenous fentanyl for patient-controlled analgesia. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wiley-Blackwell | - |
dc.relation.isPartOf | ANAESTHESIA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Analgesia, Patient-Controlled/adverse effects* | - |
dc.subject.MESH | Analgesics, Opioid | - |
dc.subject.MESH | Anesthetics, Intravenous/adverse effects* | - |
dc.subject.MESH | Comorbidity | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fentanyl/adverse effects* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Motion Sickness/epidemiology | - |
dc.subject.MESH | Postoperative Nausea and Vomiting/diagnosis* | - |
dc.subject.MESH | Postoperative Nausea and Vomiting/epidemiology | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Sex Factors | - |
dc.subject.MESH | Smoking/epidemiology | - |
dc.subject.MESH | Surveys and Questionnaires* | - |
dc.title | Dynamic predictive model for postoperative nausea and vomiting for intravenous fentanyl patient-controlled analgesia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | D. Chae | - |
dc.contributor.googleauthor | S. Y. Kim | - |
dc.contributor.googleauthor | Y. Song | - |
dc.contributor.googleauthor | W. Baek | - |
dc.contributor.googleauthor | H. Shin | - |
dc.contributor.googleauthor | K. Park | - |
dc.contributor.googleauthor | D. W. Han | - |
dc.identifier.doi | 10.1111/anae.14849 | - |
dc.contributor.localId | A00616 | - |
dc.contributor.localId | A01422 | - |
dc.contributor.localId | A02036 | - |
dc.contributor.localId | A04014 | - |
dc.contributor.localId | A04274 | - |
dc.relation.journalcode | J00128 | - |
dc.identifier.eissn | 1365-2044 | - |
dc.identifier.pmid | 31531854 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14849 | - |
dc.subject.keyword | fentanyl | - |
dc.subject.keyword | intravenous patient-controlled analgesia | - |
dc.subject.keyword | postoperative nausea and vomiting | - |
dc.subject.keyword | predictive model | - |
dc.contributor.alternativeName | Kim, So Yeon | - |
dc.contributor.affiliatedAuthor | 김소연 | - |
dc.contributor.affiliatedAuthor | 박경수 | - |
dc.contributor.affiliatedAuthor | 송영 | - |
dc.contributor.affiliatedAuthor | 채동우 | - |
dc.contributor.affiliatedAuthor | 한동우 | - |
dc.citation.volume | 75 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 218 | - |
dc.citation.endPage | 226 | - |
dc.identifier.bibliographicCitation | ANAESTHESIA, Vol.75(2) : 218-226, 2020 | - |
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